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Hum. Reprod. Advance Access published online on May 12, 2005
Human Reproduction, doi:10.1093/humrep/dei081
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© The Author 2005. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oupjournals.org
Received February 3, 2005
Revised March 15, 2005
Accepted April 13, 2005

Article

Hysteroscopy may be justified after two miscarriages

A. Weiss 1, E. Shalev 2*, and S. Romano 1

1 Department of Obstetrics and Gynecology, Ha'Emek Medical Center, Afula, 18101, Israel and
2 Department of Obstetrics and Gynecology, Ha'Emek Medical Center, Afula, 18101, Israel and Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel

* To whom correspondence should be addressed.
E. Shalev, E-mail: shaleve{at}tx.technion.ac.il


  Abstract

BACKGROUND: Recurrent pregnancy loss is traditionally investigated after three or more consecutive pregnancy losses. Although there is a trend to start investigation after two miscarriages, data are not available to date to justify this approach. We sought to compare the frequency of uterine anomalies between women referred to hysteroscopy for repeated miscarriages after two, and three or more, miscarriages respectively. METHODS: A retrospective analysis of acquired and congenital uterine anomalies in all patients undergoing hysteroscopy for repeated pregnancy loss at an academic and referral medical centre. RESULTS: Hysteroscopy was performed on 165 women referred for recurrent pregnancy loss: 67 after two and 98 after three or more consecutive miscarriages. The rate of uterine anomalies did not differ significantly and was 32 versus 28% respectively. CONCLUSIONS: Hysteroscopy may be justified following two spontaneous pregnancy losses.

Keywords: hysteroscopy; recurrent miscarriage; uterine anomalies.
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S. H. Saravelos, K. A. Cocksedge, and T.-C. Li
Prevalence and diagnosis of congenital uterine anomalies in women with reproductive failure: a critical appraisal
Hum. Reprod. Update, September 1, 2008; 14(5): 415 - 429.
[Abstract] [Full Text] [PDF]


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